Organization Active NPI

Encompass Private Clinic

  • Point of Service
  • La Mesa, CA
National Provider Identifier
1386033371
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
ENCOMPASS PRIVATE CLINIC
Practice address
7051 Alvarado Rd
Suite 101
La Mesa, CA 91942-8901
Phone
(619) 460-7775
Fax
(619) 460-7023
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Lajvardi, MD
Title
Physician Owner
Phone
(619) 460-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

7051 Alvarado Rd
Suite 101
La Mesa, CA 91942-8901

Mailing address

7051 Alvarado Rd
Suite 101
La Mesa, CA 91942-8901
Phone (619) 460-7775

National Provider Directory

National Provider Directory
Tax ID family
Encompass Private Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7051 Alvarado Rd
Ste 101
La Mesa, CA 91942
Phone (619) 460-7775

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1386033371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 ALVARADO RD",
            "address_2": "SUITE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428901",
            "telephone_number": "619-460-7775",
            "fax_number": "619-460-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 ALVARADO RD",
            "address_2": "SUITE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428901",
            "telephone_number": "619-460-7775",
            "fax_number": "619-460-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS PRIVATE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "LAJVARDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "619-460-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.